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针灸治疗阿尔茨海默病的疗效:一项更新的系统评价和荟萃分析。

Effectiveness of Acupuncture for Alzheimer's Disease: An Updated Systematic Review and Meta-analysis.

机构信息

Department of Acupuncture and Moxibustion, Hubei University of Chinese Medicine, Wuhan, 430061, China.

Department of Integrated TCM and Western Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China.

出版信息

Curr Med Sci. 2019 Jun;39(3):500-511. doi: 10.1007/s11596-019-2065-8. Epub 2019 Jun 17.


DOI:10.1007/s11596-019-2065-8
PMID:31209824
Abstract

Acupuncture has reportedly improved memory and cognitive impairment in both animal and clinical studies. It may be an effective treatment for Alzheimer's disease (AD). The purpose of this meta-analysis was to review the effectiveness of acupuncture for the treatment of AD. Eight databases were searched for articles published up to and including July 2017, and 13 studies fulfilling the inclusion criteria were identified. The main outcomes assessed were clinical efficacy rate, Mini-Mental State Examination score, Ability of Daily Living Scale score, Alzheimer's Disease Assessment Scale-Cognition score, Hasegawa's Dementia Scale (HDS) score, and adverse events. The methodological quality of the articles was assessed using Cochrane's risk of bias. All the studies compared the efficacy of acupuncture with that of medication, and were published in Chinese journals. Meta-analysis revealed that acupuncture yielded positive results as determined via all the indexes scored except the HDS (95% CI -0.26 to 0.90, Z=0.35, P=0.73). Only one of the studies reported adverse events associated with acupuncture and medication. The rate of adverse events in the medication group was 13%. In most of the studies assessed in the current meta-analysis, acupuncture alone was better than conventional western medicines for the treatment of AD.

摘要

据报道,针灸在动物和临床研究中都能改善记忆力和认知障碍。它可能是治疗阿尔茨海默病(AD)的有效方法。本荟萃分析的目的是回顾针灸治疗 AD 的疗效。检索了截至 2017 年 7 月发表的文章,共确定了 13 项符合纳入标准的研究。主要评估结果为临床有效率、简易精神状态检查评分、日常生活能力量表评分、阿尔茨海默病评估量表-认知评分、长谷川痴呆量表(HDS)评分和不良事件。采用 Cochrane 偏倚风险评估文章的方法学质量。所有研究均比较了针灸与药物的疗效,且发表于中文期刊。荟萃分析显示,除 HDS 外(95%CI-0.26 至 0.90,Z=0.35,P=0.73),所有评分指标均显示针灸具有积极效果。仅有一项研究报告了与针灸和药物相关的不良事件。药物组的不良事件发生率为 13%。在当前荟萃分析评估的大多数研究中,针灸单独治疗 AD 优于常规西药。

相似文献

[1]
Effectiveness of Acupuncture for Alzheimer's Disease: An Updated Systematic Review and Meta-analysis.

Curr Med Sci. 2019-6-17

[2]
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[3]
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[4]
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BMC Complement Altern Med. 2017-12-29

[5]
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[6]
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[7]
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[8]
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[9]
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[10]
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引用本文的文献

[1]
From Tradition to Innovation: Acupuncture Therapies Targeting Ferroptosis in Neurological Disorders.

Brain Behav. 2025-9

[2]
Systematic Review and Meta-Analysis of Acupuncture Treatment for Diabetic Cognitive Impairment: Focus on Animal Models.

Brain Behav. 2025-9

[3]
Acupuncture for patients with mild cognitive impairment: a randomized, patient-assessor-blinded, sham-controlled pilot study.

BMC Complement Med Ther. 2025-7-19

[4]
Long-term electroacupuncture and repetitive transcranial magnetic stimulation differentially slow the progression of Alzheimer's disease in App mice.

Alzheimers Res Ther. 2025-6-23

[5]
Effect of acupuncture on the gait disturbance and hemodynamic changes in the prefrontal cortex: a study protocol for a randomized controlled trial.

Front Neurol. 2025-1-15

[6]
Efficacy and safety of acupuncture for cognitive impairment in Alzheimer's disease: a systematic review and meta-analysis.

Front Dement. 2024-7-3

[7]
Safety and efficacy of acupuncture for mild cognitive impairment: a study protocol for clinical study.

Front Neurol. 2024-3-15

[8]
Electroacupuncture promotes neurogenesis in the dentate gyrus and improves pattern separation in an early Alzheimer's disease mouse model.

Biol Res. 2023-12-2

[9]
Anti-Inflammatory Effect of Traditional Chinese Medicine on the Concept of Mind-Body Interface.

Adv Exp Med Biol. 2023

[10]
Neuroimaging studies of acupuncture on Alzheimer's disease: a systematic review.

BMC Complement Med Ther. 2023-2-23

本文引用的文献

[1]
Molecular Pathogenesis of Alzheimer's Disease: An Update.

Ann Neurosci. 2017-5

[2]
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J Psychopharmacol. 2017-2

[3]
Global, regional, and national incidence, prevalence, and years lived with disability for 310 diseases and injuries, 1990-2015: a systematic analysis for the Global Burden of Disease Study 2015.

Lancet. 2016-10-8

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Astrocyte Intermediaries of Septal Cholinergic Modulation in the Hippocampus.

Neuron. 2016-5-5

[5]
Acupuncture ameliorates cognitive impairment and hippocampus neuronal loss in experimental vascular dementia through Nrf2-mediated antioxidant response.

Free Radic Biol Med. 2015-12

[6]
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Salud Publica Mex. 2015

[7]
The effectiveness and safety of acupuncture for patients with Alzheimer disease: a systematic review and meta-analysis of randomized controlled trials.

Medicine (Baltimore). 2015-6

[8]
[Clinical observation of Alzheimer's disease treated with acupuncture].

Zhongguo Zhen Jiu. 2014-12

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Exercise programs for people with dementia.

Cochrane Database Syst Rev. 2015-4-15

[10]
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Lancet. 2014-12-18

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